A new home health agency audit from the Department of Health and Human Services Office of Inspector General (OIG) found only a few coding and OASIS-submission mistakes, according to a report released Feb. 20, 2026.
 
The review was of 100 claims from Ohio-based Alternate Solutions of Dayton. OIG found just four claims with errors, with an overpayment of $940.
 
The issues identified by OIG included:
  • One claim with an unsupported secondary diagnosis coded. This was not supported by documentation in the medical record, according to the OIG review.
  • One claim was identified and paid as an institutional admission, but the documentation showed the patient was a community admission following an emergency room visit with no inpatient stay. This accounted for the $940 overpayment.
  • Two claims with OASIS assessments that were not submitted within 30 days of completing the comprehensive assessment.
The OIG noted that Alternate Solutions concurred with the audit recommendations and noted corrective actions it has taken since the audit period, including a structured internal claim review process and new system safeguards to ensure compliance and accuracy.
 
See the full report at oig.hhs.gov.
 
Home Health Line subscribers can find more on OIG’s recent agency audits at homehealthline.com.